Erynn Reed

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

65956

Practice address

201 E Debbie LN
Mansfield, TX 76063-2924

Phone

(817) 797-9868

NPI assigned

May 12, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blue Serenity Counseling, PLLC

  • Clinical Social Worker
  • Mansfield, TX
  • NPI 1427867001
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1235829128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 VENECIA WAY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E DEBBIE LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632924",
            "telephone_number": "817-797-9868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Strada Cir Ste 123",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760636639",
            "country_code": "US",
            "telephone_number": "682-218-0008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "ERYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "65956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rays Pharmacy Inc
• Rays Pharmacy Inc
• Saqib Razaq, M.D.
• Jennifer Ralyn Razis, APRN, CNM
• Mary Reas-Oden, LMSW
• John Calvin Reed IV, AGACNP
• Kristina Marie Reed, D.O.
• Octavia Reed
• Rosieleetta Reed
• Sydney Reeher, DC

• Clinical Social Worker in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.